Transpancreatic biliary sphincterotomy versus double guidewire in difficult biliary cannulation: a randomized controlled trial.

Leena Kylänpää, Vilja Koskensalo, Arto Saarela, Per Ejstrud, Marianne Udd, Outi Lindström, Mia Rainio, Andrea Tenca, Jorma Halttunen, Gunnar Qvigstad, Urban Arnelo, Niklas Fagerström, Truls Hauge, Lars Aabakken, Juha Grönroos

October 2021 Endoscopy

Synopsis of Social media discussions

The overall discussions show enthusiasm for the comparative effectiveness of TPBS versus double guidewire techniques, with users referencing the study's findings like similar or lower complication rates for TPBS and emphasizing its potential to improve clinical outcomes. Words like 'game changer' and questions about the safest methods demonstrate both interest and recognition of the study's importance.

A
Agreement
 Moderate agreement

Most discussions support the findings that TPBS is comparable or preferable, highlighting the study's positive implications for clinical practice.

I
Interest
 High level of interest

The discussions reveal high curiosity about the techniques and their safety, indicating strong engagement with the topic.

E
Engagement
 Moderate level of engagement

Comments include references to technical details and potential implications, showing moderate depth of discussion.

I
Impact
 Moderate level of impact

Many discussions consider the clinical significance, suggesting the study could influence future procedures and decision-making.

Social Mentions

YouTube

2 Videos

Facebook

2 Posts

Twitter

39 Posts

Metrics

Video Views

1,136

Total Likes

173

Extended Reach

359,238

Social Features

43

Timeline: Posts about article

Top Social Media Posts

Posts referencing the article

Transpancreatic Biliary Sphincterotomy vs Double Guidewire for Difficult Cannulation

Transpancreatic Biliary Sphincterotomy vs Double Guidewire for Difficult Cannulation

This randomized trial compares transpancreatic biliary sphincterotomy and double guidewire techniques during ERCP. Transpancreatic sphincterotomy shows higher success in biliary access without increasing pancreatitis risk, providing an effective alternative for challenging cases.

endoscopythieme

September 22, 2021

731 views

Comparison of Transpancreatic Biliary Sphincterotomy and Double Guidewire Technique

Comparison of Transpancreatic Biliary Sphincterotomy and Double Guidewire Technique

This study compares transpancreatic biliary sphincterotomy and double guidewire techniques for difficult biliary cannulation, showing TPBS has a higher success rate without increasing pancreatitis risk.

endoscopythieme

September 22, 2021

405 views

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    Author Commentary Transpancreatic biliary sphincterotomy (#TPBS) vs double guidewire (#DGW) in difficult biliary cannulation ... Authors: Leena Kylänpää et al. Read more here: https://t.co/vbfnpYAhxv Watch the video here: https://t.co/cylk5bzoDI
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Abstract Synopsis

  • This study compared two advanced techniques, transpancreatic biliary sphincterotomy (TPBS) and double guidewire (DGW), to improve success rates in difficult biliary cannulation during ERCP procedures.
  • The main finding was that TPBS had a higher success rate in achieving deep biliary access than DGW, while both methods showed similar rates of post-ERCP pancreatitis, indicating that TPBS is a safe alternative in challenging cases.
  • Overall, the study suggests that TPBS can be an effective and safe rescue technique when standard wire-guided cannulation struggles, especially when the guidewire enters the pancreatic duct.